Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.29 / $5,128.00 / $42,556.96	Facility		$668.29	$5,128.00	$42,556.96
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $109.81 / $127.86 / $176.88	Facility	53	$109.81	$127.86	$176.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,294.00 / $63,648.00	Facility		$4,989.00	$10,294.00	$63,648.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $721.57 / $5,064.50 / $15,193.50	Facility		$721.57	$5,064.50	$15,193.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.48 / $33,148.00 / $34,143.00	Facility		$572.48	$33,148.00	$34,143.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $111.77 / $111.77 / $111.77	Facility	53	$111.77	$111.77	$111.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $886.16 / $3,649.94	Facility		$332.00	$886.16	$3,649.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $572.48 / $34,143.00 / $76,894.00	Facility		$572.48	$34,143.00	$76,894.00
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $111.77 / $111.77 / $111.77	Facility	53	$111.77	$111.77	$111.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $12,296.00 / $35,479.00	Facility		$2,705.00	$12,296.00	$35,479.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $905.47 / $905.47 / $2,455.11	Facility		$905.47	$905.47	$2,455.11